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Organization

MEIJER STORES LIMITED PARTNERSHIP

Active
Other names
Meijer Pharmacy #246
Organization subpart
No

Provider details

NPI number
Authorized official
JASON BEAUCH RPH (DIRECTOR, PHARMACY MANAGED CARE)
(616) 791-3169
Entity
Organization

Contact information

Practice address
8300 MEIJER DR, CANAL WINCHESTER, OH 43110-7400
(614) 920-7210
(614) 920-7265
Mailing address
2929 WALKER AVE NW, GRAND RAPIDS, MI 49544-9424
(616) 791-3169
(616) 735-8532

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
021789750
OH
3336C0003X
Community/Retail Pharmacy
Primary
021789750
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2815592
OH
Enumeration date
04/04/2008
Last updated
10/29/2020
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